scholarly journals Hubungan antara Kadar Hemoglobin dan Status Gizi pada Penderita Thalassemia-β Mayor di RSUD Al-Ihsan Provinsi Jawa Barat

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Dita Trieana Ulfah ◽  
Hidayat Widjajanegara Widjajanegara ◽  
Yoyoh Yusroh Yusroh

Thalassemia adalah penyakit kronik yang menyebabkan penurunan Hb karena gangguan sintesis hemoglobin akibat mutasi satu atau lebih gen globin. Thalassemia dapat menyebabkan gangguan status gizi. Status gizi penderita thalassemia dipengaruhi oleh keadaan anemia kronik, kelebihan zat besi akibat rendahnya kepatuhan minum obat kelasi besi yang rendah, usia saat terdiagnosis, kadar Hb saat akan dilakukan transfusi, nutrisi dan penyakit penyerta.  Tujuan penelitian ini mengetahui hubungan antara kadar hemoglobin dan status gizi pada penderita thalassemia-β mayor di RSUD Al Ihsan Provinsi Jawa Barat. Penelitian ini menggunakan metode analitik dengan melihat data rekam medis pasien Thalassemia-β mayor di Klinik Anak RSUD Al-Ihsan periode Maret - Juni 2020 dengan rancangan studi cross sectional. Kriteria inklusi: usia 0 - 18 tahun, terdapat data BB, TB dan Hb. Dari 92 anak yang menderita Thalassemia-β mayor terdapat 82 anak yang memenuhi kriteria inklusi, kebanyakan berusia 1 - 5 tahun (40%) dengan jenis kelamin laki-laki 43 anak dan perempuan 39 anak. Pada anak usia ≤ 5 tahun: 85%  status gizinya normal, gizi kurang 6%, perawakan normal 67%, perawakan pendek  18%, dan perawakan sangat pendek  15%. Anak usia > 5 tahun: 71% status gizinya normal,  gizi kurus 10%, sangat kurus hanya 2%, perawakan normal 35%, perawakan pendek  43%, dan perawakan sangat pendek  22%. Nilai-p BB/TB pada anak ≤ 5 tahun yaitu 0.494 dan TB/U 0.33. Pada anak usia > 5 tahun dihasilkan nilai-p IMT/U 0,595 dan TB/U 0,230. Simpulan penelitian adalah kadar hemoglobin tidak memiliki hubungan dengan status gizi pasien Thalassemia-β mayor. The Relationship between Hemoglobin Levels and Nutritional Status in Thalassemia B Major Patients in Al Ihsan Hospital West Java ProvinceThalassemia is chronic disease that causes decrease in Hb due to hemoglobin synthesis disorders. Thalassemia can cause nutritional status disorders. Factors that influence nutritional status are age at diagnosis, Hb level at the time of transfusion, chronic anemia, iron overload due to low adherence to taking iron chelating agent drugs, nutrition and comorbidities. The purpose of this study is to see the relationship between hemoglobin levels and nutritional status in thalassemia B major patients in Al Ihsan Hospital West Java province. Using the analytic method by looking at the medical record data of patients who went to the children’s clinic at Al Ihsan Hospital during the March - June 2020 period with a cross-sectional study. The inclusion criteria were children aged 0 - 18 years and there were data on body weight, height and Hb level. Of the 92 thalassemia patients, 82 met the inclusion criteria. Mostly aged 1-5 years (40%) with male 43 children and female 39 children. Children aged < 5 years: 85% normal nutritional status,  6% wasted, 67% normal stature, 18% stunted and 15% severely stunted, with p-value W/BH was 0.493 and p-value BH/A was 0.331. Children > 5 years aged: 71% normal nutritional status, 10% wasted, 2% severely wasted, 35% normal stature, 43% stunted and 22% severely stunted, with p-value BMI/A was 0.595 and p-value BH/A was 0.230. The conclusion of this study is there is no relationship between hemoglobin levels and nutritional status in thalassemia B major patients.

Author(s):  
Emi Nur Sariyanti ◽  
Diffah Hanim ◽  
Sapja Anantanyu

Background:Blood pressure is a disease that is often found in the elderly. Many studies show that socioeconomic status is closely related to the incidence of hypertension especially in the elderly. In addition, since hypertension is generally associated with being overweight and obese, nutritional status can also be a factor for experiencing hypertension in the elderly.Objective:To analyze the relationship between income and nutritional status with the incidence of hypertension in the elderly.Method: This study used a cross-sectional study design involving 133 elderly respondents in the area of the Klaten Community Health Center. Income data were obtained using the respondents’ basic characteristic questionnaire. Nutritional status was obtained based on anthropometric measurements of body weight and height which were calculated using the Body Mass Index (BMI). While blood pressure data were obtained from Sphygmomanometer measurements. The data obtained were analyzed using the Spearman test with a p-value <0.05. This study was approved by Ethics Commission UniversitasSebelasMaret.Results: The results of this study indicate there is a relationship between income and the incidence of hypertension in the elderly (p=0.046) while the nutritional status has no relationship with the incidence of hypertension (p=0.640).Conclusion: High income has a low risk of the elderly experiencing hypertension, while nutritional status good or not they do not have a risk of hypertension.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 81-84


2019 ◽  
Vol 2 (2) ◽  
pp. 19-22
Author(s):  
Tri Siwi Kusuma Ningrum ◽  
Yeni Yarnita ◽  
Novi Lestari

ABSTRACT   Menstrual cycle is a pattern that describes the distance between the first day of menstruation with the first day of menstruation in the next period. The pattern of the menstrual cycle can change which can be influenced by many factors, one of which is a person's nutritional status. The purpose of this study was to determine the relationship between nutritional status and the menstrual cycle in young women in Pekanbaru 7 High School. This type of research uses a cross sectional study with probability sampling sampling techniques  with totaling 220 respondents. Data collection used a questionnaire about the menstrual cycle and measurement of nutritional status using body mass index. The results showed that there was no significant relationship between nutritional status and the menstrual cycle with the p-value (p = 0.755).   Keywords: nutritional status, menstrual cycle   ABSTRAK   Siklus menstruasi merupakan pola yang menggambarkan jarak antara hari pertama menstruasi dengan hari pertama menstruasi pada periode berikutnya. Pola siklus menstruasi bisa berubah ubah yang dapat dipengaruhi oleh banyak faktor salah satunya  status gizi  seseorang. Tujuan dari penelitian ini untuk mengetahui adanya hubungan status gizi dengan  siklus  menstruasi  pada remaja putri  di SMA Negeri 7 Pekanbaru. Jenis penelitian menggunakan  cross sectional study dengan tehnik pengambilan sampel probability sampling yang berjumlah 220 responden. Pengumpulan data menggunakan kuesioner tentang  siklus menstruasi dan pengukuran status gizi menggunakan indeks massa tubuh. Hasil Penelitian  menunjukkan bahwa tidak terdapat hubungan yang bermakna antara status gizi dengan  siklus menstruasi dengan nilai p-value (p=0,755).


2021 ◽  
Vol 4 (1) ◽  
pp. 38-46
Author(s):  
Nur Juliana ◽  
Firnasrudin Rahim ◽  
Hamzah B ◽  
Wa Ode Megasari

The problem that often arises for workers in the industrial sector, including household industries such as gold craftsmen, is work fatigue. Data shows the prevalence of work fatigue in workers reaches from 10% to 40%. Gold craftsmen who are still working manually, working longer than 8 hours/day and having a body posture that is not ideal so they are at risk of experiencing work fatigue. This study aims to determine the relationship between length of work and nutritional status with work fatigue on gold craftsmen in Malimongan Village, Wajo District, Makassar City. This type of analytic observational research uses a cross sectional study approach, involving 30 gold craftsmen as respondents who were taken by simple random sampling. Collecting data using questionnaires, body scales and stature meters which are then analyzed using non-parametric methods with the Kruskal Wallis test. The results showed that the length of work 8 hours/day was 44,3%, normal nutritional status was 70% and work fatigue was 60%. Statistical analysis showed that there was a relationship between length of work and work fatigue for gold craftsmen (p-value=0,016) while nutritional status and work fatigue were obtained (p-value=0,311). In conclusion, it is known that there is a relationship between length of work and work fatigue, and there is no relationship between nutritional status and work fatigue in gold craftsmen.


2017 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Fitri Rachma ◽  
Siti Zulaekah

<p><em>Achievement of badminton athlete performance is supported by excellent physical fitness, normal nutritional status and adequate fluid intake. The purpose of this study was to determine the relationship of nutritional status and fluid intake with physical fitness athletes in Badminton Association of Kudus Regency. This research is an observational research with cross sectional approach. The population</em><em>s</em><em> in the study were badminton athletes in Kudus Region who met the inclusion criteria. Samples used 33 samples from the total population of 85 samples. Analysis</em><em> of</em><em> the relations</em><em>hip</em><em> of nutritional status and fluid intake with athlete's physical fitness using Pearson Product Moment test. Based on the test of the relationship of nutritional status with athlete physical fitness obtained p value = 0.386. Analysis of the relationship of fluid intake with athlete's physical fitness obtained p value = 0.450. This study can be concluded that there is no relationship of nutritional status and fluid intake with athlete's physical fitness.</em></p><p><em> </em></p><p><strong><br /></strong><em></em><em></em></p>


2021 ◽  
Vol 4 (2) ◽  
pp. 160
Author(s):  
Estin Puspaningrum ◽  
Sri Umijati ◽  
Sri Utami ◽  
Dominicus Husada

AbstractBackground: In 2017, the prevalence of malnutrition in Indonesia was ranked 4­th among Southeast Asia countries. The nonoptimal complementary feeding is one of the reasons. The nonoptimal complementary feeding is associated with the prevalence of underweight and stunting in the children at the age 6-23 months. Complementary feeding pattern include frequency and dietary diversity. This study aims to investigate the relationship between complementary feeding pattern and nutritional status of infants at the age 7-12 months in the Kedungwaru Health Center, Tulungagung. Methods: This study used observational analytic and cross-sectional study design. The sample consisted of 71 mothers of the infants which were taken by total sampling. The variables of this study were complementary feeding pattern and nutritional status. This study also used a questionnaire and observation sheet. The Fisher Exact Test was used to analyse the data. Result: The results showed 88.7% of the infants have good nutritional status. There are 49.3% appropriate complementary feeding and 69% which applied various types of complementary feeding. The frequency of complementary feeding with the nutritional status of infants obtained p value 0.478 and the dietary diversity of complementary feeding with nutritional status obtained p value 0.102. Conclusions: There were no significant relation between the complementary feeding pattern and the nutritional status (weight-for-age) in infants at the age 7-12 months. Further research about other variables is needed. 


2019 ◽  
Author(s):  
Dedah Ningrum ◽  
Dewi Dolifah ◽  
Diding Kelana Setiadi ◽  
Ahmad Purnama Hudaya ◽  
Akhmad Faozi ◽  
...  

Inyoungadultsagegroupbreakfastisthemealtimemostoftenskipped.The purpose of this study was to determine the relationship between breakfast habits,calorieintake and nutritional status of the students of Sumedang government’s nursing academy. This study employed a cross sectional study method design which includes nutritional status as its the dependent variable and breakfast habits and calorie intake as its independent variable.Thesampletakenwere83personsoffreshmanandsophomore of nursing students of the 2016-2017 academic year. The sampling was organized by using proportional random sampling method. Nutritional status was assessed by employing BMI. Breakfast habits were assessed by employing breakfast habit questionnaire in one week. Calorie intake was assessed by using a 1x24 hours food recall questionnaire. Furthermore, calorie intake was analyzed by using Nutri Survey softwareandcomparedwiththe2012EnergyAdequacyRateforIndonesiapopulation. For bivariate analysis this study used Pearson chi-square test with a significance degree of 95% and p-value <0.05. The characteristics of nutritional status of the respondents classified as Normal weight status (61.4%), Thin (19.3%), and Fat (19.3%). Most respondents have good calorie intake (53.0%) and have regular breakfast habits (54.2%),/it can be concluded that there is a significant relationship between calorie intake and nutritional status (p=0.001) and breakfast habits with nutritional status (p = 0.033).Conclusion that healthy breakfast habits in young adults are good life style that should be pursued to fulfill daily energy needs to achieve normal nutritional status.


2021 ◽  
Vol 3 (2) ◽  
pp. 88-93
Author(s):  
Erni Rukmana ◽  
Tyas Permatasari ◽  
Esi Emilia

Background; nutritional status is a condition in which a person's body is healthy or not, which can be seen anthropometrically, biochemically, physically, and dietary intake. The state of excess intake and inadequate activity will lead to excess body weight. During the COVID-19 pandemic, physical activity decreased among adolescents, so there is a risk of being overweight. Objectives; to analyze the relationship between activity and nutritional status in adolescents during the COVID-19 pandemic in Medan City. Material and Method; analytical survey with cross-sectional study approach. This research was conducted by collecting data online in Medan City. The sample of this study was adolescents with a random sampling of 99 samples. Results; This study shows that there is a association between physical activity and nutritional status in adolescents with p-value (0,008). Conclusion; physical activity is needed to maintain body weight during the COVID-19 pandemic.


Author(s):  
Dina Dewi Anggraini

ABSTRACT   The study aims todetermine the relationship between parenting style and the level of independence of Personal Hygiene Hand Wasting and Tooth Brush in Preschoolers in Kindergarten Negeri Pembina Blora in 2019. The study is a quantitative study, based on the research location including the type of field reseaerch, based on the ansence of the treatment of subjects including survey research, based on time is a cross sectional study, and based on objectives includin correlation analytics. The population in this study were all parents in Kindergarten Negeri Pembina Blora as many as 85 respondents. Based on the sample calculation, the sample obtained in this study that most parent in Kindergarten Negeri Pembina Blora amounted to 70 respondents. Srearmen’s rho test analysis results parenting parents with the level of independence of personal hygiene hand wasting result obtained p value = 0,000 < α (0,05), and parenting patters with the independence of personal hygiene tooth brush obtained results p value = 0,000 < α (0,05). So it can be concluded that were is a significant relationship between parenting parents with the level of independence of personal hygiene washing hands and brushing their tooth at preschoolers in Kindergarten Negeri Pembina Blora in 2019. Keywords: parenting; personal hygiene, preschool ABSTRAK   Penelitian ini bertujuan untuk mengetahui Hubungan Pola Asuh Orangtua Terhadap Tingkat Kemandirian Personal Hygiene Cuci Tangan dan Gogok Gigi pada Anak Prasekolah di TK Negeri Pembina Blora Tahun 2019. Penelitian ini adalah penelitian kuantitatif, berdasarkan tempat penelitian termasuk jenis penelitian lapangan, berdasarkan tidak adanya perlakuan terhadap subjek termasuk penelitian survey, berdasarkan waktu merupakan penelitian cross sectional, dan berdasarkan tujuan termasuk analitik korelasi. Populasi dalam penelitian ini adalah seluruh orangtua di TK Negeri Pembina Blora sebanyak 85 responden. Berdasarkan perhitungan sampel  maka diperoleh sampel pada penelitian ini adalah sebagian orangtua di TK Negeri Pembina Blora sebanyak 70 responden. Hasil analisis uji spearmen’s rho pola asuh orangtua dengan tingkat kemandirian personal hygiene cuci tangan didapatkan hasil p value = 0,000 < α (0,05), dan pola asuh orangtua dengan kemandirian personal hygiene gosok gigi didapatkan hasil p value = 0,000 < α (0,05). Sehingga dapat disimpulkan bahwa ada hubungan yang signifikan antara pola asuh orang tua dengan tingkat kemandirian personal hygiene cuci tangan dan gosok gigi pada anak prasekolah di TK Negeri Pembina Blora Tahun 2019. Kata kunci: pola asuh; personal hygiene; prasekolah


2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1017.2-1018
Author(s):  
N. Kelly ◽  
E. Hawkins ◽  
H. O’leary ◽  
K. Quinn ◽  
G. Murphy ◽  
...  

Background:Rheumatoid arthritis (RA) is a chronic, autoimmune inflammatory condition that affects 0.5% of the adult population worldwide (1). Sedentary behavior (SB) is any waking behavior characterized by an energy expenditure of ≤1.5 METs (metabolic equivalent) and a sitting or reclining posture, e.g. computer use (2) and has a negative impact on health in the RA population (3). Sleep is an important health behavior, but sleep quality is an issue for people living with RA (4, 5). Poor sleep quality is associated with low levels of physical activity in RA (4) however the association between SB and sleep in people who have RA has not been examined previously.Objectives:The aim of this study was to investigate the relationship between SB and sleep in people who have RA.Methods:A cross-sectional study was conducted. Patients were recruited from rheumatology clinics in a large acute public hospital serving a mix of urban and rural populations. Inclusion criteria were diagnosis of RA by a rheumatologist according to the American College of Rheumatology criteria age ≥ 18 and ≤ 80 years; ability to mobilize independently or aided by a stick; and to understand written and spoken English. Demographic data on age, gender, disease duration and medication were recorded. Pain and fatigue were measured by the Visual Analogue Scale (VAS), anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index. SB was measured using the ActivPAL4™ activity monitor, over a 7-day wear period. Descriptive statistics were calculated to describe participant characteristics. Relationships between clinical characteristics and SB were examined using Pearson’s correlation coefficients and regression analyses.Results:N=76 participants enrolled in the study with valid data provided by N=72 participants. Mean age of participants was 61.5years (SD10.6) and the majority 63% (n = 47) were female. Participant mean disease duration was 17.8years (SD10.9). Mean SB time was 533.7 (SD100.1) minutes (8.9 hours per day/59.9% of waking hours). Mean sleep quality score was 7.2 (SD5.0) (Table 1). Correlation analysis and regression analysis found no significant correlation between sleep quality and SB variables. Regression analysis demonstrated positive statistical associations for SB time and body mass index (p-value=0.03846, R2 = 0.05143), SB time and pain VAS (p-value=0.009261, R2 = 0.07987), SB time and HADS (p-value = 0.009721, R2 = 0.08097) and SB time and HADSD (p-value = 0.01932, R2 = 0.0643).Conclusion:We found high levels of sedentary behavior and poor sleep quality in people who have RA, however no statistically significant relationship was found in this study. Future research should further explore the complex associations between sedentary behavior and sleep quality in people who have RA.References:[1]Carmona L, et al. Rheumatoid arthritis. Best Pract Res Clin Rheumatol 2010;24:733–745.[2]Anon. Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab = Physiol Appl Nutr Metab 2012;37:540–542.[3]Fenton, S.A.M. et al. Sedentary behaviour is associated with increased long-term cardiovascular risk in patients with rheumatoid arthritis independently of moderate-to-vigorous physical activity. BMC Musculoskelet Disord 18, 131 (2017).[4]McKenna S, et al. Sleep and physical activity: a cross-sectional objective profile of people with rheumatoid arthritis. Rheumatol Int. 2018 May;38(5):845-853.[5]Grabovac, I., et al. 2018. Sleep quality in patients with rheumatoid arthritis and associations with pain, disability, disease duration, and activity. Journal of clinical medicine, 7(10)336.Table 1.Sleep quality in people who have RASleep variableBed Time N(%) before 10pm13(18%) 10pm-12pm43 (60%) after 12pm16 (22%)Hours Sleep mean(SD)6.56 (1.54)Fall Asleep minutes mean(SD)33.3(27.7)Night Waking N(%)45(63%)Self-Rate Sleep mean(SD)2.74 (0.90)Hours Sleep mean(SD)6.56 (1.54)Disclosure of Interests:None declared


Sign in / Sign up

Export Citation Format

Share Document